Individual
RICHARD F GIANSIRACUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 E 13TH ST, SUITE 100, LOVELAND, CO 80537-5113
(970) 613-1745
(970) 461-6160
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22694
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226943
—
CO
01
—
GI11764
ANTHEM BCBS
CO
Enumeration date
11/16/2005
Last updated
04/20/2008
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